This is optional. Provide if you are comfortable doing so.
Name: {{{name}}}
Email: {{{email}}}
Tell us something about your level of study and the type of institutional appointment you hold. Choose any of the terms below that apply to you: * undergrad * grad * part-time instructor * pre-tenure faculty member * tenured faculty member * archivist-librarian * independent scholar * creative practitioner * interested citizen
Role: {{{role}}}
Institution: {{{inst}}}
Field of Study/Creative Endeavor: {{{field}}}